Financial and policy checks
Apply configured pricing, coverage, and benefit rules to every claim.
- Hospital tariff validation
- Schedule of Charges (SOC) checks
- Policy benefit plan validation
- Deduction calculations
Superclaims is now part of ekincare
Adjudicate health claimsin minutes, not hours.
AI that turns unstructured claim documents into consistent, audit-ready decisions for insurers and TPAs, at up to 70% lower operating cost.
Book a demoFrom claim documents to review-ready decisions.
Superclaims is an AI-powered claim adjudication engine for insurers and TPAs. It turns unstructured documents into structured findings, applied checks, and decision-ready outputs.
Built for both IPD and OPD claim adjudication.
Structure claim data
Extract fields from claim documents and categorize bill line items for downstream review.
Apply review rules
Evaluate policy, tariff, clinical, expense, and fraud checks against the configured workflow.
Prepare the decision
Return deductions, findings, and decision reasoning in a traceable package for reviewers.
Operational impact
Results vary by claim type, document quality, configuration, and review policy.
- Typical processing time, down from 300+ minutes.
- ~10mins
- Decision precision across evaluated claims.
- >97%
- Operational cost reduction in deployed workflows.
- ~70%
- Claims processed monthly across active deployments.
- 100K+
One claim. Four coordinated review stages.
Specialized agents handle distinct parts of the claims lifecycle and pass structured findings forward, keeping every check, deduction, and decision traceable.
Intake and structure
Read incoming claim documents, normalize fields, and prepare a structured claim file.
Structured claim data
Financial checks
Validate policy benefits, tariffs, expenses, and bill-level deductions.
Applied policy findings
Clinical and anomaly review
Assess medical context and flag patterns that need additional scrutiny.
Clinical and FWA findings
Decision and audit trail
Assemble the recommendation, calculations, and evidence for reviewer validation.
Review-ready decision package
Review every claim against the right criteria.
The engine extracts 100+ structured attributes, categorizes bill line items, and applies configured checks to prepare consistent, review-ready claim decisions.
Clinical and expense review
Connect medical context with bill-level expenses before a recommendation is prepared.
- Detailed medical scrutiny
- Non-Medical Expenses (NME) identification
Fraud and audit controls
Surface anomalies and retain the findings reviewers need to validate a decision.
- Fraud, Waste, and Abuse (FWA) detection
- Traceable findings and deductions for reviewer validation
Certified security for health claims.
Superclaims is covered by an ISO/IEC 27001:2022-certified information security management system for health claims software and support.
ISO/IEC
27001
2022 certified
A recognized information security standard.
The certified scope covers software development and support for end-to-end health insurance claims processes.
- Valid through
- 13 April 2029
- Certificate
- 146637/A/0001/UK/En
View certificate (PDF)
Issued to Cardit Labs Private Limited, the legal entity for Superclaims.
Connect without rebuilding your claims operation.
Choose the route that fits your team today. The integration can deepen as claim volume and workflow requirements grow.
Review security information- API
- Connect claim intake, supporting documents, review findings, and decision outputs directly.
- TMS integration
- Exchange claim data inside the workflows operations teams already use.
- Secure portal
- Start with a controlled workspace when a direct systems integration is not yet practical.
See a claim reviewed end to end.
Walk through intake, checks, deductions, and the complete audit trail using representative claim data.
Book a demoLive walkthrough
30 min
From claim intake to a traceable review output.